Resources

Date Required

Applicant's Legal Name

Applicant's Age

SIN

Driver's License

Phone

Fax

Cell Phone

Email

Present Residence

How Long (Years)

Monthly Rent

Reason for Leaving

Name of Present Landlord

Phone of Present Landlord

Address of Property to be Rented

Type of Rental

Bachelor 1 Bedroom 2 Bedroom 3 Bedroom

Number of Adults

Number of Children under 18

Ages of Children

Total Number of Occupants

Pets

Yes   No

Present Employer

Occupation

Employer Phone

Annual Income

Former Employer

Former Employer (Start/Stop)

Spouse's Full Name

Spouse's Employer

Spouse's Occupation

Spouse's Employer Phone

Credit References (List Bank, Credit Union, Type of Account or Other Credit References)

Personal Reference 1

Personal Reference 1 Phone

Personal Reference 1 Relationship

Personal Reference 2

Personal Reference 2 Phone

Personal Reference 2 Relationship

I hearby authorize the person or firm to whom this application is submitted to obtain such credit reports or other information as may be deemed necessary in connection with the establishment and maintenance of a credit account for any other direct business requirement.    Yes   No

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